Registered Nurse-Emergency Department (ED)

Diversity Group; Johnson City (TN); On-site; USD 72,000 - 98,000; Full time

Job summary

Diversity Group is seeking an Emergency Department Registered Nurse to assess patients, triage using a five-level system, and develop individualized care plans with collaborative team input.

The role emphasizes care coordination, health teaching, and ongoing evaluation, with opportunities to advance through VA-aligned practice standards while ensuring patient safety and quality care.

Qualifications

• English language proficiency required for direct patient care.

Responsibilities

• The Emergency Department RN provides competent, evidence-based care to assigned patients.
• The RN delegates and supervises care by LPNs and other personnel.
• The RN participates in education, orientation, and quality improvement activities.

Skills

English Language Proficiency

Nursing Degree

Nursing License

Bridge program

Accreditation standards (ACEN/CCNE)

Nurse licensure equivalency

Education

Associate Degree in Nursing (ADN) or Diploma in Nursing

Bachelor of Science in Nursing (BSN)

Master’s degree in Nursing (MSN)

Foreign nursing education equivalency validation

Job description

Summary

The ED Nurse assesses the patient by collecting pertinent data or information - including the triage of patients based on the five-level triage system to prioritize patients that require more immediate care. Will identify expected outcomes to develop a collaborative and individualized plan for each patient. Will implement that plan - including care coordination - health teaching - and promotion. Evaluate the progress toward achieving the expected goal and outcomes and adjusts the plan as necessary.

Qualifications

Basic Requirements:

• English Language Proficiency


• In accordance with 38 U.S.C. 7403(f) - no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English


• Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE)


• OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program


• Upon achievement of a State license - the individual may be appointed on temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program


• (Reference VA Handbook 5005 - Appendix G6)


• OR In cases of graduates of foreign schools of professional nursing - possession of a current - full - active - and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program


• Credit for foreign nursing education higher that associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD)


• Current - full - active - and unrestricted registration as a graduate professional nurse in a State - Territory or Commonwealth (i.e. - Puerto Rico) of the United States - or the District of Columbia


• Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements - but do not possess the required licensure - may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case-by-case-basis.) NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification


• Grade Determinations: The following Scope - Education and Dimension criteria must be met in determining the grade assignment of candidates - and if appropriate - the level within a grade


• The Dimension requirements (Practice - Veteran/Patient Driven Care - Leadership - Professional Development and Evidence-Based Practice/Research) are detailed for each grade and level within the online assessment: https://apply.usastaffing.gov/ViewQuestionnaire/13072776


• Grade/Level Scope Education Nurse I - Level I Delivers fundamental - knowledge-based care to assigned clients while developing technical competencies


• An Associate Degree (ADN) or Diploma in Nursing - with no additional professional nursing required


• Nurse I - Level II Demonstrates integration of biopsychosocial concepts - cognitive skills and technically competent practice in providing care to clients with basic or complex


• An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I - Level 1 ;OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required


• Nurse I - Level III Demonstrates proficiency in practice based on conscious and deliberate planning


• Self-directed in goal setting for managing complex client situations


• An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I - Level 2


• OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I - Level 2


• OR a Master's degree in nursing (MSN) and no additional professional nursing experience


• OR a Master's degree in a *related field with a BSN and no additional professional nursing experience


• Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others


• A BSN with 2 years of professional nursing equivalent to Nurse I - Level 3


• OR an MSN with one year of specialized nursing experience equivalent to Nurse I - Level 3


• OR a Master's degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I - Level 3


• OR a Doctoral degree in Nursing with no professional nursing experience


• OR a Doctoral degree in a *related field with a BSN with no additional professional nursing experience


• Nurse III Executes position responsibilities that demonstrate leadership - experience and creative approaches to management of complex client care beyond the immediate practice setting


• MSN and 2 years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III


• OR a Master's degree in *related field with BSN and two years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III


• OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III


• OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III


• *Note: Foreign education programs/degrees are not creditable as related degrees


• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/


• Preferred Experience: -Two years of ER experience at bedside within the last 12 months


• Physical Requirements: The population of male and female veterans served ranges from the adult - age 18 - to the elderly adult - age 65 and over


• James H


• Quillen Veterans Affairs Medical Center (JHQVAMC) is a major interdisciplinary teaching facility - serving medical - surgical - and neurological inpatients and outpatients


• There is a large outpatient psychiatric population - with admissions for medical co-morbidities


• This position requires visual acuity - keen hearing - clear distinctive speech - and manual dexterity


• This position requires potentially long periods of continued walking - standing - stooping - sitting - bending - pulling - lifting 10 pounds or more and pushing


• Transferring patients and objects may be required


• The RN may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures


• The RN may occasionally be exposed to patients who are combative secondary to delirium - dementia - or psychiatric disorders


• The APRN must be a mature - flexible - sensible individual capable of working effectively in stressful situations - able to shift priorities based on patient needs


• Basic Life Support (BLS) certification is required for all clinically-active staff employed by JHQVAMC not identified for the Advanced Cardiac Life Support (ACLS) training.

Duties

• The Emergency Department (ED) Registered Nurse (RN) is responsible for providing competent - evidence-based care to assign patients


• They delegate and supervise basic nursing care of licensed practical nurses and unlicensed assistive personnel


• The nurse will assist in directing the provision of nursing education - orientation - competencies and providing quality improvement and outcomes utilization


• Provides urgent and emergent care to patients with acute and/or chronic medical - this article - and psychiatric conditions


• 
  Nursing care ranges from basic nursing care to stabilization - resuscitation - and life support measures


• Emergency nursing practice is independent and collaborative


• The ED RN practices includes the roles of direct care provider - educator - administrator - researcher - consultant - leader - and advocate


• Evaluates practice in an ongoing process - based on best evidence


• Provides peers with informal constructive feedback for improvement


• Fosters a safe and supportive environment conducive to the professional development of healthcare professionals


• Contributes professional nursing perspective and discussions with the interdisciplinary team


• Partners with others to affect change and produce optimal outcomes


• Supports colleagues through knowledge sharing to provide safe - quality nursing care


• Shares educational findings - experiences - and ideas with peers


• Questions clinical practices for the purpose of providing evidence based care period participates in activities and strategies to sustain and evidence based practice culture


• VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary - regular salary increases - potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave - 13 days of sick leave - 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Rotational Payscale: NG42 Functional Statements: 61456F through 61460F